DRG Validation Auditor

2 days ago


Quezon City, Philippines ACCPRO International Full time

DUTIES and RESPONSIBILITIES:• Review inpatient medical records for validation of DRG (Diagnostic-related Groups)assignment.• Provide detailed rationale and supporting evidence for recommendations andfindings.• Utilize industry-recognized references to support their review findings, such as theICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of EthicalCoding, AHIMA Practice Briefs related to compliant querying, and AHA CodingClinics.• Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstractingsoftware, Meditech etc. will be added advantage.QUALIFICATIONS:• At least 2 years of experience in DRGV/ IP Auditor• Must be a College Graduate of any med-allied courseMust Haves:Active Coding CertificationNice to Have:Bachelor’s Degree in NursingRELEVANT INFORMATION:• If certification will expire in the next 6 months, candidate will shoulder certificationrenewalTraining Details: 2 Months | Mid Shift | Onsite (Cubao, Quezon City)No planned leaves or absences during trainingWork Address: Cyberpark Tower 2, Gen Mc Arthur Avenue, Araneta City, BarangaySocorro, Quezon CityWork Set-up: OnsiteWork Schedule: Monday to Friday | 3pm – 12mn Philippine TimeWork Type: Full TimeSalary: Php 95,000.00 – Php 100,000.00BENEFITS OFFERED:• Fixed Weekend Off• HMO on Day 1 (with 2 free dependents upon regularization)• Group Life Insurance on Day 1• Clinical Allowances (License Allowance, Relevant Exp Allowance, ComplexityAllowance)• Quarterly Variable Incentive (QVI)• Annual Merit Increase• Applicant Referral Program Incentive (ARP)• Leave Credits Conversion



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    DUTIES and RESPONSIBILITIES: • Review inpatient medical records for validation of DRG (Diagnostic-related Groups) assignment. • Provide detailed rationale and supporting evidence for recommendations and findings. • Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting,...


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    DUTIES and RESPONSIBILITIES: • Review inpatient medical records for validation of DRG (Diagnostic-related Groups) assignment. • Provide detailed rationale and supporting evidence for recommendations and findings. • Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting,...


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